Dr Lester Burkow, DO | |
319 W Delaware St, Decatur, MI 49045-1106 | |
(269) 423-7028 | |
(269) 423-8282 |
Full Name | Dr Lester Burkow |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 319 W Delaware St, Decatur, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639166747 | NPI | - | NPPES |
1639166747 | Medicaid | MI | |
3191668 | Medicaid | MI | |
1235131137 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101006642 (Michigan) | Primary |
Entity Name | Bronson Lakeview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235131137 PECOS PAC ID: 9032008495 Enrollment ID: O20051027001022 |
Mailing Address | Practice Location Address |
---|---|
Dr Lester Burkow, DO 319 W Delaware St, Decatur, MI 49045-1106 Ph: (269) 423-7028 | Dr Lester Burkow, DO 319 W Delaware St, Decatur, MI 49045-1106 Ph: (269) 423-7028 |
David Joseph Wendling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 Fax: 269-423-8282 | |
Diane Marie Elghoul, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 | |
Song Yol Yu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 Fax: 269-423-8282 |